Impact of Janani Suraksha Yojana

Impact of Janani Suraksha Yojana IMPACT OF JANANI SURAKSHA YOJANA ON INSTITUTIONAL DELIVERY AND INFANT MORTALITY RATE IN KARANATAKA Mamatha K.G Abstract The Government of India launched the National Rural Health Mission (NRHM) mainly to strengthen health services in the rural areas. It seeks to provide effective health care to the rural population by improving access, enabling community ownership, strengthening public health systems, enhancing accountability and promoting decentralization (Ministry of Health Family Welfare 2005). Under the NRHM, there is a specific scheme, the Janani Suraksha Yojana (JSY), which was introduced in April 2005. The main objective of JSY scheme is reducing Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) by encouraging institutional deliveries, particularly in Below Poverty Line families. The paper intends to study the impact of Janani Suraksha Yojana on institutional delivery and Infant Mortality rate. The results show that before implementation of JSY the rate of institutional delivery was less and IMR was high. But after the implementation of JSY the number of institutional deliveries ha s increased and infant mortality rate has reduced significantly. Finally, it can be concluded that NRHM launched by Government of India holds great hopes and promises to serve the deprived undeserved communities of rural areas. If Government improves the awareness on Janani Suraksha Yojana then there is no doubt that Karnataka can increase its institutional delivery and reduce infant mortality rate. Keywords: Institutional Delivery, Infant Mortality Rate, Janani Suraksha Yojana and Karnataka. Introduction Every pregnant woman hopes for a healthy baby and an uncomplicated pregnancy. However, every day about 1500 women and adolescent girls die from problem related to pregnancy and childbirth. Every year, some 10 million women and adolescent girls experience complications during pregnancy, many of which leave them their children with infections and several disabilities (G.R Jayashree). Pregnant women die in India due to a combination of important factors like, poverty, ineffective or unaffordable health services, lack of political, managerial and administrative will. All this culminates in a high proportion of home deliveries by unskilled relatives and delays in seeking care and this in turn adds to the maternal mortality ratios. The institutional delivery plays major role in reducing MMR and IMR. In India, while 77 percent of pregnant women receive some form of antenatal check-up, only 41 percent deliver in an institution. Even though all services are free only 13 percent of the lowest income quintile delivers in a hospital. As per sample registration system 2005, IMR in India was 58 and institutional delivery was 38.7 whereas in Karnataka IMR was 50 per 1000 live births and institutional delivery was 60 (SRS 2001-2003 and NRHM Implementation Plan 2011-12). In developing countries like India, the health care services are not equally distributed. The organizational structure requires a concern particularly with the maternal health. The Government of India has been implementing various programmes from time to time to tackle these issues. It launched the Reproductive and Child Health (RCH) programme in 1997, which aimed at universalising immunization, ante-natal care and skilled attendance during delivery. Reduction of maternal mortality was an important goal of RCH-II that was launched in 2005. One of the main interventions was to provide emergency obstetric care at the first referral unit. Incentives were also given to staff to encourage round the clock obstetric services at health facilities (Ministry of Health Family Welfare 2008). Later in 2005, the Government of India launched the National Rural Health Mission (NRHM) mainly to strengthen health services in the rural areas. It seeks to provide effective health care to the rural population by improving access, enabling community ownership, strengthening public health systems, enhancing accountability and promoting decentralization (Ministry of Health Family Welfare, 2005). Under the NRHM, there is a specific scheme the Janani Suraksha Yojana (JSY), which was introduced in April 2005. The main objectives of JSY scheme were reducing Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) by encouraging institutional deliveries, particularly in Below Poverty Line families. Under this scheme cash incentives are given to women who opt for institutional deliveries and also to the local health functionary ASHA (Accredited Social Health Activists) who motivates the family for institutional delivery and helps them in obtaining ante-natal and post-natal services. As of today, the Janani Suraksha Yojana (JSY) is a largest conditional cash transfer programme in the world, with the number of beneficiaries increasing from a mere 7 lakh in 2005-06 to almost 92 lakh in 2009-10. Review of Literature â€Å"A Rapid Appraisal on Functioning of Janani Suraksha Yojana in South Orissa† undertaken by Nandan (2008) reviewed the operational mechanism and usage status of JSY Scheme, reasons for non usage, perception and awareness of beneficiary and non beneficiary mothers and the involvement of ASHAs, ANMs along with district and block officers in the implementation of JSY. The study on â€Å"Advantages as Perceived by the Beneficiaries of Janani Suraksha Yojana (JSY) in Bikaner District† by Kumari(2009) revealed that some essential advantages perceived by the beneficiaries of JSY were safe delivery at PHCs and CHCs, helpful in population control, payment of Rs. 1400 to the mother (in rural areas) after delivery, full protection after delivery etc. Whereas, last but not least advantages expressed by the beneficiaries were testing of salt sample for protection from Gulgund, availability of water, bed and electricity etc. at PHCs. The study on† Impact of Janani Suraksha Yojana on Selected Family Health Behaviors in Rural Uttarpradesh† by Khan et.al (2010) informs that Janani SurakshaYojana is a monetary incentives and non-incentivized services and counseling by the ASHA have increased Client-provider contact, the percentage of women receiving three ANC check-ups. This study briefly explores extent to which the JSY has succeeded in achieving its goal or promoting positive family health behaviors that have a significant bearing on maternal and neonatal mortality. Ambrish (2010) in his study â€Å"Effect of Mortality Incentives on Institutional Deliveries: Evidence the Janani Suraksha Yojana in India† observed that the scheme has been in operation only for 5 years and the sample covers only the first three of these years. Hence, the paper captures only the short-run impact of the scheme. The short-term result indicates the JSY is indeed making a difference. Even though the JSY seems to have a positive impact on the institutional deliveries, its impact on maternal and neo-natal mortality is minimum. Mutharayappa (2010) revealed that institutional deliveries have increased, along with knowledge of family planning methods and utilization of government health services. These are encouraging sign. Promoting of institutional deliveries need to be sustained in order to reduce pre natal and neo- natal mortality rates. The study on† Missed Opportunities of Janani Suraksha Yojana Benefits among the Beneficiaries in Slum Areas† by Wadgave et.al (2011) mainly focused on main reasons of missed opportunities of JSY benefits among the beneficiaries. Out of 3212 women 360 (11.20) were eligible for getting the benefits of Janani Suraksha Yojana. Among the 360 only 118 (32.78) women got the benefit of JSY while, 242 (62.22) missed the opportunity of getting JSY benefits due to lack of JSY information, difficulty in getting the documents fulfilled and not filling the form at proper time were three common reasons in not getting the benefit of JSY. The percentage of beneficiaries was more in receiving ANC care delivery done in Government hospitals. Dilip et.al (2012) in their study â€Å"Low Coverage of Janani Suraksha Yojana among Mothers in 24-Parganas (South) of West Bengal in 2009† reported that inadequacy of fund and delayed payments of financial benefits lead to low coverage of JSY. Institutional delivery has increased with decreasing in Infant Mortality Rate after implementation of JSY. Objectives of the Study The present study has the following objectives: To Study the impact of JSY on institutional delivery rate in Karnataka. To Study the impact of JSY on infant mortality rate in Karnataka. Hypotheses of the Study The following hypotheses have been tested Janani Suraksha Yojana has significantly increased the number of institutional deliveries and reduced the infant mortality rate in Karnataka. There is significant relationship between Institutional deliveries and IMR rate in Karnataka. Methodology Keeping the objectives in the mind, the present study employs various statistical and econometrics tools like table, graph, Paired t test and Correlation co-efficient. Sources of data The secondary data is collected from Ministry of Health and Family Welfare Statistical Report, RCH Second Implementation Plan, NRHM Operational Guideline, NRHM Annual Reports, Karnataka State Report on NRHM 2005, Karnataka Human Development Reports 2005, SRS Bulletin, WHO Reports, Five Year Plan Documents, Word Bank Reports and Census Reports. Results and Discussion Table.1: Institutional Delivery rate In Karnataka From 2001-2010 NRHM Programme Implementation Plan for 2010-2011 Vidhana Soudha http://stg2.kar.nic.in/healthnew/nrhm/PDF/PIP 2010-11.pdf Chart.1: Institutional Delivery rate In Karnataka From 2001-2010 From the table and chart [Table.1 Chart 1], it is clear that Institutional Delivery Rate in Karnataka from 2001 to 2010. Before implementation of JSY, institutional delivery rate was 60 percent in 2005 but after implementation of JSY which increased 63 percent to 91.3 percent in 2006 to 2010. Table.2: Paired Sample T Test on Institutional Delivery Rate in Karnataka On the basis of analysis conducted by using paired sample T test, there is a significant difference in the number of institutional deliveries. Further, it pointed out that after implementation of JSY scheme a significant increase was observed in institutional delivery rate in Karnataka. Table.3: Infant Mortality Rate in Karnataka from 2001-2012 Source: SRS Bultain 2012 and Databook for DCH; 10th March, 2014 IMR (*2011, 2012) Chart.2: Infant Mortality Rate in Karnataka from 2001-2012 From the table and chart [Table.3 chart.2], it is clear that Infant Mortality Rate in Karnataka from 2001 to 2012. The infant mortality rate of Karnataka was 58 per 1000 live birth as per the censuses in 2001, out of which 69 percent were rural areas and 27 percent were urban areas. Keeping pace with the national average, Karnataka recorded a sharp decline in the infant mortality rate from 50 percent in 2005 to 32 percent in 2012. It means before implementation of JSY infant mortality rate was high and after implementation of JSY infant mortality rate has declined significantly. Table .4: Paired Sample T Test on Infant Mortality Rate in Karnataka On the basis of analysis conducted by using paired sample T test, it indicates that the IMR rate was 52.80 before implementation of JSY and it has decreased to 43.80 percent after implementation of JSY. Overall, the decreased rate of IMR was 9.00. The t statistic is significant at 1% (df: 5, t: 10.06, sig.0.001) level. Hence the null-hypothesis of no difference is rejected and alternative hypothesis of significant difference is accepted. Table.5: Correlation between Institutional Delivers and IMR Significant negative correlation has observed between Institutional Deliveries and Infant Mortality Rate. Where the correlation of -.971 was found to be significant at .001 level. In other words with an increase in the Institutional Delivery the IMR rates have been reduced. Findings of the Study Before implementation of Janani Suraksha Yojana institutional delivery rate was less and IMR rate was high. After implementation of Janani Suraksha Yojana has helped to increase the rate of institutional delivery and reduce the rate of infant mortality significantly. Significant negative correlation has observed between Institutional Deliveries and Infant Mortality Rate. In other words with an increase in the Institutional Delivery and the IMR rates have been reduced. Conclusion The result of the formative study clearly indicates that Janani Suraksha Yojana has increased the institutional deliveries in India and Karnataka. It found that institutional deliveries have increased and IMR has been reduced after implementation of JSY. Does, it can be conclude that if the implementation process is strengthened, quality improved and programme is effectively monitored, the institutional deliveries will increases in future their by helps in reducing the IMR rate. Further it will helps to full fill the commitment made towards IMR under Millen Development Goals. References Ambrish Dongre, (2010 â€Å"Effect of Mortality Incentives on Institutional Deliveries: Evidence the Janani Suraksha Yojana in India†, SSRN Publication, 1-27, New Delhi. Basic Indicators: Health Situation in South East Asia. World Health Organization, South East Asia region, Community journal 2004; 56-2-3. Dilip K Mandal,Prabhdeep Kaur, and Manoj u Murhekar, (2012) â€Å"Low Coverage of Janani Suraksha Yojana among Mothers in 24-Parganas (South) of West Bengal in 2009†, Biomed Central the Open Access Publisher. Khan.M.E. Ashok kumar. Health Status of Women in India; Evidence from National Health Survey.2010 August; vol 6:1-21. Khan M.E, Avishek Hazra, and Isha bhatnagar, (2010)† Impact of Janani Suraksha Yojana on Selected Family Health Behaviors in Rural Uttarpradesh†, Journal of Family Welfare, Vol. 56, New Delhi, 9-21. Kumari Vinod, Dhawan Deepali Singh, Archana Raj, (2009) â€Å"Advantages as Perceived by the Beneficiaries of Janani Suraksha Yojana (JSY) in Bikaner District†, Journal of Dairying food and Home Scinces,Vol,28 issues 3and 4. Mutharayappa, R., 2010, Functioning of Janani Suraksha Yojana in Hassan District Karnataka. The Indian Journal of Social Work, 71(2):167-180. Nandan Devadasan, Maya Annie Elias, Denny Jhon Shishir Grahacharya and Lalnuntlangi Ralte, (2008), â€Å"A Conditional Cash Assistant Programme for Promoting Institutional deliveries among the Poor in India: Process Evaluation Results,† International Journal of Commerce, Economics and Management, Vol. No.2. Nandan (2008),â€Å"A Rapid Appraisal on Functioning of Janani Suraksha Yojana in South Orissa,† Indian journal of Community Medicine, Oct-Dec 35(4), 453-454. Operational Guidelines for Implementation of Janani Suraksha Yojana. Parul Sharma, Jayanti Seemwal, Surekha Kishore, (2011) â€Å"A Comparative Study of Utilization of Janani Suraksha Yojana in Rural Areas and Urban Slums†, Indian journal of community Health, Vol.22, No.2, vol.23, No1. Wadgave Hanmath Vishwanath, Gajanan M JettiUpendra, Tannu (2011) â€Å"Missed Opportunities of Janani Suraksha Yojana Benefit among the Beneficiaries in Slum Areas†, National journal of Community Medicine, Vol, 2 and Issues1.

Frida Kahlo & Diego Rivera Q & A :: essays research papers

What is your first impressions of the following characters: Frida Kahlo I find her to be disabled from multiple injuries from a few harsh accidents that shouldn’t of happened to anyone, that she got her artist vision & abilities in her first accident involving a bus crashing & then being plasted from her chest down to her calves, then she was basically as soon as only when her right leg was plasted. She was in love with Diego Rivera & married him twice, & then found out that she couldn’t have kids, had gang green on her foot from smoking & drinking a lot, & then she died in peace being with the one she loved the most, being able to do what she loves wants & can, in think of her a brave, considerate, & strong person. Diego Rivera He can paint like a real artist, but he has no sense in love or the meaning of being in a relationship neither for marriage, until it was really, to late to have been able to do the things he could have & wanted to with Frida Kahlo. I want to know what side he is playing for, the best of him or for the worst of him. In the movie â€Å"Frida† how was Frida Kahlo portrayed: As a woman? She was treated like a lady at times & at other times she got treated like a player of the game & man she can be mistaken as a man by looks & personality. As an artist? She was respected for her work, but the fact that she didn’t seem like or acted like an artist, & using canvases that is what she ‘lacked’ in respect, & for a while no-one really seemed to care, but then she met Diego Rivera. As Diego’s wife? No-one believed that she should be married & in love with him for no reason though they all know the reasons why but they just didn’t understand. Their relationship was complicated, cheating upon each other, until they departed because Diego slept with Frida’s sister, then eventually they re-married, though they felt strong about each other though they couldn’t she it til near the end when it was to late. How do think Frida felt about America? That the country lived on striving for power & money that they only wanted it their way or other wise you would either lose your job or, everything else. Fact & point she very much disliked America.

Frankenstein or his creature? Essay

† This is Frankenstein’s first descriptions of the creature after it has been â€Å"born†, we can see that at first the describes the monster with words such as having beautiful features, then he goes on to repeat the word making it seam like he is being sarcastic, then he says â€Å"Great God! † This is short and effective sentence, which makes the reader, think that he does not think that his creature is beautiful, but in fact ugly and disfigured. The way that Shelley put this phrasing together, making it a long sentence, makes us think that Frankenstein is thinking carefully about his words, choosing them carefully. Here it is that he realises that the full extend of his arrogance and naivety. He describes his emotions after the event as † The beauty of the dream had vanished, and breathless horror and disgust filled my heart. † He then rushed out of the room and into his bedroom, the events and how he describes how he is feeling, makes the reader’s of today think that he is experiencing what we today would call a nervous breakdown. Luckily, his friend Clerval comes to his rescue and nurses him better. Even as he is on the better side of his recovery, he does not bear to think about what he has done, if he even thinks about it he starts to shake and tremble. Shelley here is describing how we all would feel if we had done something wrong, a sort of guilt of knowing that one has done something that one should not have done in the first place. In the next chapter, we have a letter from Elizabeth, telling Frankenstein of a Justine Moritz, this letter goes into great detail of this characters past, as Shelley is wanting the reader to find out, as she did with Walton in the beginning, this particular characters past. We hear of how her father had died and he mother had almost disowned her. Is this another coincidence that Justine is left almost parentless, as her relationship was never very good with her mother? In this letter we also hear of Frankenstein’s youngest brother William, who we find out in the beginning of chapter seven is dead, another coincidence? We do not here of the creature again until chapter ten, when Frankenstein meets the creature, the language changes considerably in the way that we now feel that it is more formal and almost biblical. It feels like the creator, or God is talking to its’ creation, Adam. The creature then goes on and it tells it’s tale in chapter’s eleven through to chapter seventeen. It tells us how it learnt to read and write from the people living in the cottage, how it was rejected by society. This is an interesting point that Shelley makes, one of her father’s philosophies was that you could not separate a human being from society, which is exactly what Shelley does with the monster, and also in a way what she does to Frankenstein when he is in the process of creating the monster itself. The creature also speaks of how he becomes angry and cannot understand his emotions. He tells Frankenstein of how he read his diary that he left behind in his home, how he felt about some of the things that Frankenstein said about him, and how he feels about being made from dismembered bodies. After the creature finishes telling his story, we recognise how the creature and Frankenstein speak similarly, they both use complex sentence structures and they know how to talk about how they feel emotionally. We can sympathise with the creature on an emotional level, because of the way the book is written. Shelley, very cleverly, gave the book three viewpoints. From the view of Walton, Frankenstein and of the creature. This gives us an insight into how the creature’s mind works, so we can empathise with how he is feeling, so we do not get a one sided view of him from Frankenstein. We get to understand why the creature feels angry and also that the creature does not see what he is doing as wrong. He does not care about killing William or framing Justine, he describes her as â€Å"Another one I could not have. † This in his eyes, made her just as guilty as every other person for not accepting him. He says â€Å"I am malicious because I am miserable,† this is the creatures’ justification for killing people. He also resents Frankenstein for abandoning him after his â€Å"birth† like a child would if its’ father left it after or before its birth. The creature sees Frankenstein very much as its, father. This is not what Frankenstein wants, and he is now thinking about the coincidences for his actions, even though now, he cannot do anything about it. The creature says, â€Å"I am chained in an eternal hell. † Here the creature describes his life away from society, he describes it as his version of â€Å"hell† because that is how most people would hate to live. Nobody likes to feel alone in the world. At the end of the book, the creature weeps to the death of his â€Å"father†, when Frankenstein dies, he is most grievous though, about the fact that Frankenstein never gave him a name, and he feels that his name is very important. In some cultures of the world if you commit a crime your name can be taken off you, this is felt more of a punishment as being outlawed or being sent to prison. T In conclusion, I still think that Frankenstein is the most monstrous. Even though the creature killed innocent people, it can by saying it didn’t know better, justifies its’ actions, also I think that Frankenstein has a part to play in this because the creature never asked to be born. It was out of arrogance and out of naivety that Frankenstein thought that he could get away with creating life and not having to live with the consequences, much I think how some people act towards life today. I think that this story still plays a part in today’s world. I think that this story has a moral, and that the moral of the story is, â€Å"You should always think before you act. † You should always think about the repercussions of your actions. If everybody thought a little bit more about what they were doing and how it would affect other people, the world would be a much better place for us all to live in. Rebecca Wood 10/4 Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Mary Shelley section.

Main Features of the New Deal Essay - 1683 Words

Main Features of the New Deal In 1932 Roosevelt came to power. He aimed to invest government money in making America prosperous again after the depression years of Hoover. Roosevelts main aims were to reduce unemployment and get Americans earning money again, to protect peoples savings, homes and livelihoods, to provide relief for the ill, the elderly and the unemployed and to get American industry and agriculture running once again. In his first hundred days in charge in charge Roosevelt worked tirelessly to transform America, using new laws, acts and the full power of the government to steer America out of the depression. His first objective was to restore Americans confidence in their†¦show more content†¦Around 2.5million young men were helped by this scheme, which gave them work on environmental projects. Men signed on for periods of six months, which could be renewed if work could still not be found. On 12th May 1933 the Agricultural Adjustment Act was passed. This set about solving the problems of farmers. It took a long-term view and set quotas to reduce farm production so that prices would eventually increase. The AAA also helped some farmers pay their mortgages and helped farmers modernize. Unfortunately modernization meant that many farm labourers lost their jobs. Another important act that was introduced during the 100 days was the National Industry Recovery Act which set up two organisations: the (PWA) Public Works Administration and the (NRA) National Recovery Act. The PWA used government money to create millions of jobs building roads, bridges, dams, schools and airports, which would be important once the US had recovered. The NRA improved working conditions and banned child labour. It also set up a minimum wage and set out industries level of production. This helped the economy because it meant employees had money to spend. The scheme was voluntary and those companies who joined used the Blue Eagle as a symbol of government approval. More than 2 million employers joined the scheme. Another great success for theShow MoreRelatedThe Main Features of The New Deal Essay848 Words   |  4 PagesThe Main Features of The New Deal When Roosevelt came to power in 1933 he immediately set about stopping the depression and to bring economic recovery. He done this by a bill called The New Deal, the main aim of this was to provide relief for victims of the depression. Because of Roosevelt was so successful with his plan and term of presidency he was elected for another three more times until 1948. The main important time during his presidency and The New Deal wasRead MoreThe Main Features of the New Deal Essay1742 Words   |  7 PagesThe Main Features of the New Deal The New Deals were a series of Acts and schemes which Roosevelt hoped would pull America out of the depression. 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